Determinants of Stunting Incidence in ToddlersCross-Sectional Study at Sukomoro Health Center, Magetan Regency, East Java

Tri Wahyuni (1) , Nurlailis Saadah (2) , Suparji(3) , Astin Nur Hanifah (4) , Teta Puji Rahayu(5)
(1) Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(2) Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(3) Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(4) Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(5) Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia

Abstract

Stunting remains a significant public health issue in Indonesia, particularly in regions like Sukomoro, where the prevalence is higher than the national average. This study aims to identify and analyze the factors contributing to stunting in toddlers aged 0-5 years in the Sukomoro Health Center area, Magetan Regency, East Java, to inform effective prevention strategies. A cross-sectional study was conducted involving 300 toddlers selected through simple random sampling from a population of over 1,200. Data were collected via structured interviews and maternal and child health book reviews, followed by statistical analysis using descriptive statistics and ordinal logistic regression. The results revealed that the incidence of stunting was associated with several factors, including maternal health history during pregnancy, especially Chronic Energy Deficiency (KEK), and low maternal education. The regression analysis showed that maternal health significantly increased the risk of stunting in children (B = 0.616, p = 0.026). However, other factors, such as family income, exclusive breastfeeding, and low birth weight, did not show statistically significant associations. This study highlights the importance of maternal health, particularly addressing KEK, as a key determinant in stunting prevention. Effective interventions should focus on improving maternal nutrition before and during pregnancy, alongside strengthening health services and community-based nutrition education.

Full text article

Generated from XML file

References

[1] World Health Organization, “Malnutrition,” Geneva, Switzerland, 2021.

[2] M. A. Alam et al., “Early persistent stunting and cognitive development at 5 years of age,” PLoS One, vol. 15, no. 1, 2020, doi: 10.1371/journal.pone.0227839.

[3] S. A. Sakti, “The impact of stunting on child growth and development during the golden age,” J. Biormatika FKIP, vol. 6, no. 1, pp. 169–175, 2020.

[4] United Nations Children’s Fund (UNICEF), Child Malnutrition Estimates: Levels and Trends, New York, NY, USA, 2023.

[5] World Health Organization, Reducing Stunting in Children: Equity Considerations, Geneva, Switzerland, 2022.

[6] Ministry of Health of the Republic of Indonesia, Results of the 2022 Indonesian Nutrition Status Survey (SSGI), Jakarta, Indonesia, 2023.

[7] East Java Provincial Government, East Java Health Profile 2023, Surabaya, Indonesia, 2023.

[8] R. Ryadinency, N. Suwandi, and T. A. Parmawati, “Determinants of stunting incidence in toddlers,” An-Nadaa: J. Public Health, vol. 8, no. 1, pp. 1–8, 2021.

[9] C. L. Pangaribuan, R. Sihombing, and S. Sembiring, “Risk factors for stunting incidence in toddlers,” J. Nutrition and Health, vol. 14, no. 1, pp. 45–51, 2022.

[10] H. Hatta et al., “Risk factors of stunting in children under five,” Gorontalo Health J., vol. 5, no. 2, pp. 183–191, 2022.

[11] N. Aini et al., “Low economic status and stunting risk: A systematic review,” J. Tambusai Health, vol. 3, no. 2, pp. 127–135, 2022.

[12] F. Noor et al., “Analysis of factors influencing stunting in toddlers,” J. Science Student Research, vol. 2, no. 2, pp. 142–147, 2024.

[13] S. Dewi, “Chronic energy deficiency in pregnant women and stunting,” Undergraduate Thesis, Univ. Jember, Indonesia, 2022.

[14] World Health Organization, WHO Recommendations on Maternal Nutrition, Geneva, Switzerland, 2021.

[15] United Nations Children’s Fund (UNICEF), Maternal and Child Stunting Reduction Programme Evaluation, New York, NY, USA, 2020.

[16] F. Y. Rahmalia and M. Azinar, “Exclusive breastfeeding and stunting incidence,” Acceleration: J. National Science, vol. 6, no. 1, pp. 43–52, 2024.

[17] D. Arini et al., “Stunting incidence and infectious diseases in toddlers,” J. Public Health Research, vol. 9, no. 2, 2020.

[18] S. Pokhrel, “Feeding practices and nutritional status of children,” J. Preventive Medicine and Holistic Health, vol. 6, no. 1, pp. 37–48, 2024.

[19] D. Arini, N. Nursalam, and I. F. Mahmudah, “Stunting incidence and infectious diseases in toddlers,” J. Public Health Research, vol. 9, no. 2, 2020.

[20] S. Pokhrel, “Feeding practices and nutritional status of children,” J. Preventive Medicine and Holistic Health, vol. 6, no. 1, pp. 37–48, 2024.

[21] World Health Organization, WHO Child Growth Standards, Geneva, Switzerland, 2021.

[22] R. L. Lemeshow et al., Sampling of Populations: Methods and Applications, 5th ed., Wiley, 2020.

[23] World Health Organization, “Height-for-age indicators,” Geneva,Switzerland, 2022.

[24] H. Hatta et al., “Risk factors of stunting in children under five,” Gorontalo Health J., vol. 5, no. 2, pp. 183–191, 2022.

[25] C. L. Pangaribuan, R. Sihombing, and S. Sembiring, “Risk factors for stunting incidence,” J. Nutrition and Health, vol. 14, no. 1, pp. 45–51, 2022.

[26] UNICEF and WHO, Measurement Guidance for Child Anthropometry, New York, NY, USA, 2021.

[27] A. Agresti, An Introduction to Categorical Data Analysis, 3rd ed., Wiley, 2020.

[28] World Medical Association, “Declaration of Helsinki: Ethical principles for medical research involving human subjects,” 2021.

[29] World Health Organization, WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience, Geneva, Switzerland, 2021.

[30] H. Hatta, M. Yusuf, R. Kadir, and A. Djafar, “Maternal nutritional status and stunting in children under five,” Gorontalo Health J., vol. 5, no. 2, pp. 183–191, 2022.

[31] R. Ryadinency, N. Suwandi, and T. A. Parmawati, “Determinants of stunting incidence in toddlers aged 12–59 months,” An-Nadaa: J. Public Health, vol. 8, no. 1, pp. 1–8, 2021.

[32] N. Aini, A. G. M. Hera, A. I. Anindita, K. S. Maliangkay, and R. Amalia, “Low economic status and stunting risk: A systematic review,” J. Tambusai Health, vol. 3, no. 2, pp. 127–135, 2022.

[33] C. L. Pangaribuan, R. Sihombing, and S. Sembiring, “Socioeconomic factors associated with stunting,” J. Nutrition and Health, vol. 14, no. 1, pp. 45–51, 2022.

[34] S. Pokhrel, “Socioeconomic disparities and child nutrition,” J. Preventive Medicine and Holistic Health, vol. 6, no. 1, pp. 37–48, 2024.

[35] F. Y. Rahmalia and M. Azinar, “Exclusive breastfeeding and stunting incidence,” Acceleration: J. National Science, vol. 6, no. 1, pp. 43–52, 2024.

[36] D. Arini, N. Nursalam, and I. F. Mahmudah, “Low birth weight and stunting outcomes,” J. Public Health Research, vol. 9, no. 2, 2020.

[37] UNICEF, Improving Child Nutrition: The Achievable Imperative for Global Progress, New York, NY, USA, 2021.

Authors

Tri Wahyuni
Nurlailis Saadah
nurlailis_66@yahoo.co.id (Primary Contact)
Suparji
Astin Nur Hanifah
Teta Puji Rahayu
[1]
“Determinants of Stunting Incidence in ToddlersCross-Sectional Study at Sukomoro Health Center, Magetan Regency, East Java”, International Journal of Advanced Health Science and Technology, vol. 6, no. 1, pp. 17–24, Dec. 2025, doi: 10.35882/ijahst.v6i1.491.

Article Details

How to Cite

[1]
“Determinants of Stunting Incidence in ToddlersCross-Sectional Study at Sukomoro Health Center, Magetan Regency, East Java”, International Journal of Advanced Health Science and Technology, vol. 6, no. 1, pp. 17–24, Dec. 2025, doi: 10.35882/ijahst.v6i1.491.

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

<< < 1 2